Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.81 / $648.45 / $14,482.00	Facility		$344.81	$648.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $344.81 / $1,056.32	Professional		$280.45	$344.81	$1,056.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $829.49 / $1,718.16	Professional		$299.83	$829.49	$1,718.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.62 / $962.47 / $1,552.43	Facility		$823.62	$962.47	$1,552.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.53 / $940.13 / $1,307.11	Professional		$475.53	$940.13	$1,307.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.20 / $345.84 / $619.63	Facility		$288.20	$345.84	$619.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $4,103.00 / $8,384.00	Facility		$317.02	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $762.33 / $1,511.38	Professional		$344.83	$762.33	$1,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $314.89 / $719.77	Professional		$67.92	$314.89	$719.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $288.20 / $345.84 / $619.63	Facility		$288.20	$345.84	$619.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.60 / $954.12 / $1,139.74	Professional		$626.60	$954.12	$1,139.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $490.26 / $1,524.65 / $2,379.44	Professional		$490.26	$1,524.65	$2,379.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $787.14 / $787.14 / $787.14	Professional		$787.14	$787.14	$787.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $649.91 / $1,717.44 / $1,717.44	Professional		$649.91	$1,717.44	$1,717.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $845.60 / $1,385.05	Professional		$359.09	$845.60	$1,385.05